Susan Abraham
Individual provider Active NPI Physician Assistant · Saint Paul, MN
NPI 1801344072 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1801344072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12279 (MN)
- Practice address
- 333 Smith Ave N
Saint Paul, MN 55102 - Phone
- (651) 241-8000
- NPI assigned
- Sep 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1324 5TH St N
New Ulm, MN 56073-1514
280 Smith Ave N
Suite 700
Saint Paul, MN 55102-2972
Phone (651) 241-6800
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Hospital & facility affiliations
- Allina United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208002403 | MN | Practitioner - Physician Assistant | 0648550640 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12279 | MN | MD | Nurse Practitioner |
| 2624 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
333 Smith Ave N
#700
Saint Paul, MN 55102
280 Smith Ave N
Ste 700
Saint Paul, MN 55102
Phone (651) 241-3535
Interoperability endpoints
- shilsgen334062@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | 12279 | MN | Yes |
Addresses
Primary practice location
333 Smith Ave N
Saint Paul, MN 55102
Mailing address
333 Smith Ave N # 700
Saint Paul, MN 55102-2344
Phone (651) 241-7000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shilsgen334062@excellian.direct.allina.com | Direct |
Other providers in Saint Paul, MN
- Above All Therapy LLC
- Brenda Louise Wilcox Abraham
- Dawn Abraham
- Paul Allan Abraham
- Quinnita Abraham
- Abrahams Bosom Care LLC
- George Abrahams
- Ajaia Suri Abramson
- Ahmed Dahir Abshir
- Aisha Abshir
All providers in Saint Paul, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.